DAVID PAT DISSELBRETT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014107

License Status

INACTIVE

Business

First Name

DAVID

Middle

PAT

Last Name

DISSELBRETT

Business Name

DAVID PAT DISSELBRETT

Original Issue Date

08/31/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ANCHORAGE

State

Zip

99507

County

ALASKA

Ever Disciplined

LastModifiedDate

06/27/2014